A qualitative exploration of fathers' perceived roles and emotional experiences during their infant's hospitalization in the neonatal intensive care unit


Alsaç S., Coşkun A. B.

Journal of Pediatric Nursing, cilt.86, ss.27-34, 2026 (SCI-Expanded, SSCI, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 86
  • Basım Tarihi: 2026
  • Doi Numarası: 10.1016/j.pedn.2025.10.026
  • Dergi Adı: Journal of Pediatric Nursing
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Social Sciences Citation Index (SSCI), Scopus, CINAHL, MEDLINE
  • Sayfa Sayıları: ss.27-34
  • Anahtar Kelimeler: Emotional experience, Family-centered care, Neonatal intensive care, NICU fathers, Qualitative study
  • Yozgat Bozok Üniversitesi Adresli: Evet

Özet

Objective This study aimed to explore the emotional experiences, perceived roles, and support needs of fathers whose infants were hospitalized in Neonatal Intensive Care Units (NICUs). Methods A descriptive qualitative design with a phenomenological approach was employed. Data were collected between March and May 2025 in the NICU of a public hospital in southern Türkiye. In-depth, semi-structured interviews were conducted with 27 Turkish-speaking fathers whose infants had been hospitalized in the NICU for at least one month. Thematic analysis, supported by NVivo 12 software, was used to interpret the data. Results The analysis revealed four central themes: (1) emotional responses and support needs, (2) perceptions of the paternal role, (3) communication with healthcare professionals, and (4) the impact of the NICU experience on family dynamics. Fathers commonly reported intense emotional distress such as anxiety, helplessness, and fear amplified by limited access to information. Many felt excluded from caregiving due to institutional practices prioritizing maternal involvement. Effective communication with healthcare professionals was reported to ease emotional burden, while impersonal or inconsistent interactions contributed to distress. The NICU experience influenced family dynamics in dual ways, strengthening familial bonds for some and causing emotional fatigue for others. Conclusions The findings underscore the need for inclusive, father-sensitive practices in NICUs to promote paternal engagement and emotional well-being. Implications for Practice Implementing culturally responsive and father-focused strategies such as clear communication, flexible visitation, and inclusive caregiving policies can enhance family-centered care and foster greater paternal involvement and resilience.